Organization
NEW ANESTHESIOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A ROLAIN M.D. (PRESIDENT)
(920) 738-2000
Entity
Organization
Contact information
Practice address
1506 S ONEIDA ST, APPLETON, WI 54915-1305
(920) 738-2000
Mailing address
200 E WASHINGTON ST, P O BOX 8031, APPLETON, WI 54911-5490
(888) 883-8533
(920) 739-0124
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21305500
—
WI
Enumeration date
10/04/2006
Last updated
08/16/2007
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